Jillian Crosgrove, RN is a 
Registered Nurse - School based in Malcolm, Nebraska. Jillian Crosgrove is licensed to practice in Nebraska (license number 79000) and her current practice location is 
10004 Nw 112th St, Malcolm, Nebraska. She can be reached at her office (for appointments etc.) via phone at 
(402) 796-2151.
NPI number for Jillian Crosgrove is 1346012663 and her current mailing address is 10004 Nw 112th St, Malcolm, Nebraska. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346012663.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Jillian Crosgrove | 
|---|
| Gender | Female | 
|---|
| Speciality | Registered Nurse - School | 
|---|
| Location | 10004 Nw 112th St, Malcolm, Nebraska | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1346012663
- Provider Enumeration Date: 10/30/2023
- Last Update Date: 10/30/2023
 
		 
		 
Medical Identifiers
		Medical identifiers for Jillian Crosgrove such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1346012663 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 163WS0200X | Registered Nurse - School | 79000 (Nebraska) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jillian Crosgrove is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Jillian Crosgrove, RN 10004 Nw 112th St,
 Malcolm, NE 68402-9561
 Ph: (402) 796-2151
 | Jillian Crosgrove, RN 10004 Nw 112th St,
 Malcolm, NE 68402-9561
 Ph: (402) 796-2151
 | 
		
		 
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